DAVID STEPHAN POLITO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077336

License Status

EXPIRED

Business

Title

First Name

DAVID

Middle

STEPHAN

Last Name

POLITO

Business Name

DAVID STEPHAN POLITO MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2025

City

DEKALB

State

Zip

60115

County

DEKALB

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

11/03/2025